Archive

Posts Tagged ‘Physical Therapy’

May
20

Where you go for information on back pain affects the quality of the information you find. Many sites have a specific agenda to sell a particular drug or treatment. This will bias the information. In that sense, this site is no exception. These articles are in support of a particular drug, but we prefer to put that drug into context and give you as rounded a picture as possible. Although we cannot claim to be independent and therefore offer completely unbiased advice, we hope you will find balance here and a freedom to make up your own minds.

Medical research indicates that up to 80% of adult Americans will experience back pain at some point during their lives. In surveys, the respondents consistently report that pain in the lower back is the most disruptive, not only interfering directly with the ability to work and so earn a living, but also affecting the quality of life by:

  • disturbing sleep;
  • encouraging inactivity and weight gain; and
  • even preventing the enjoyment of sex.

When serious pain strikes, the first reaction is usually a consultation with the primary care doctor. At this point, the bad news is received. Although it is always useful to have the possibility of serious underlying diseases and disorders ruled out, even dedicated specialists using the latest in technology, find it difficult to diagnose a specific cause for every case. This is dissatisfying. But doctors are nevertheless able to offer some help in listing treatment options. If a specific cause for the pain has been identified, the treatment can target that cause and, within the limits of technology and surgical skill, produce an improvement if not a cure. Where the cause is not certain, the choices come down to:

  • medication – there are a wide range of drugs available both on prescription and over-the-counter to control the pain and relieve tense muscles;
  • physical therapy to analyze movement problems and encourage greater mobility through the manipulation of the spine and joints, and the training of muscles;
  • cognitive behavioral therapy to teach coping strategies to improve the quality of life, i.e. to help people achieve the maximum within their physical limitations;
  • complementary and alternative therapies such as chiropractic and acupuncture – more controversial but nevertheless found effective by many people; and
  • specialist medical care for better diagnosis and possible treatment.

The main research conclusions are that practical and hands-on treatment give the best results. This includes both physical and cognitive behavioral therapies. The reason for this preference is the social bond between patient and therapist which improves the mood and encourages a more positive outlook on life. The difficulty, of course, is financial. Many health plans do not include either the professionalized or the alternative therapies. If these cannot be funded out of savings, this forces people into more medical tests and surgical interventions, or restricts them to medications. In this context, flexeril can have an important role. As a drug targeting musculoskeletal disorders, it can relax muscles within the spinal structure and increase mobility. In combination with painkillers and a mixture of rest and exercise, flexeril can often help people recover their quality of life. But if you go down this road, you must commit yourself to exercising. You must maintain muscle tone and build strength. Failing to push yourself into a full range of movement is condemning yourself to stiffen and lose mobility.

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Mar
05

At one time or another, everyone suffers from some degree of muscle pain. This is where your muscles are sore and ache. It can be from an injury. People hurt themselves by lifting heavy objects or have work requiring the overuse of certain groups of muscles. Some types of sport quite often involve injury. Equally, the pain can come from stress. Perhaps less obviously, muscles often ache as a symptom of other problems in your body. If you have an infection and a high fever, muscles can be affected. But, most often, there is a strain or damage to tendons or ligaments, or some other injury to the soft tissue of the body. Given this range of causes for pain, there is no fixed set of treatments. It is always for your healthcare professional to fit the best treatment to the injury or disorder you have. That said, the range of potential treatments fall into convenient groups.

We start with nonsteroidal anti-inflammatory drugs. These are for less serious problems and have two effects: the reduction of pain and of inflammation. Because they are not addictive, they are usually available over-the-counter in a variety of different formats, e,g, as tablets, liquids, topical creams, sprays, and so on. But, if the degree of pain is in the range of moderate to severe, a stronger analgesic is required. Although the injury or damage to the muscles will heal so long as you rest and stay reasonably still, a more powerful painkiller helps to keep you comfortable. However, one word of warning is appropriate.

Just because a painkiller is effective does not mean you can immediate resume mobility. All the drug does is to stop the pain message reaching your brain. It does not heal the injury. You have to wait for nature to take its course. Except, of course, gentle physical therapy and the use of heat and ice packs can speed the process. If the ligament or tendon is torn, surgery may be required. Effective medical intervention to treat the underlying cause of the pain is always required. Because muscle pain can be associated with anxiety, stress-related and depressive disorders, it is often appropriate to prescribe the relevant drugs to control the anxiety, relieve the stress and reduce the depression. You should not feel ashamed that the muscles may be a symptom of a mental disorder. The more important emotion is confidence the treatment will be effective to relieve the pain.

Finally, we come the the different classes of drugs used to control seizures and convulsions, and to relax muscles. Ignoring the muscle pain that can follow a seizure, we are now in the world of barbiturates, benzodiazepines, and so on which act on the central nervous system. Because they depress the nervous system, they inevitably relax muscles but, because of their side effects, it is not always wise to take them unless the threat of seizures is great. Drugs like skelaxin are not used in the treatment of seizures as such although their sedative effect is to relax the major groups of muscles. Skelaxin is used in combination with a combination of rest, physical therapy and other treatments designed to treat the underlying physical muscular disorder. Depending on the precise medical problem, it may be combined with any of the classes of drugs mentioned earlier in the article.

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